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SIG purpose/mission: The APA Ethics SIG is a group of individuals with an interest in the application of ethical theory in the context of clinical work, research, and teaching. It is a venue for sharing views and concerns about the impact of ethics in these settings in order to promote advances in physician ethics and professionalism.

Current SIG goals: To create discussion around current ethical dilemmas among ethics SIG members and PAS attendees.

Annual summary: Our SIG session in Toronto had approximately 30 attendees. The topic this year was "Difficult Decision-making on the Ends of the Pediatric Age Spectrum" with speakers Annie Janvier, Erica Salter, and John Lantos. We started by having our three speakers discuss ethics consults are handled at their institutions and answer questions. We then presented a neonatal case, and speakers facilitated small group discussions before reporting back to the group. Dr. Janvier gave a presentation highlighting specific challenges in neonatal ethics. We then presented an adolescent case for small group discussion. Dr. Salter gave a presentation on unique facets of adolescent healthcare ethics. There was a spirited debate on how to balance personal belief systems with the interest of the patient, parents, society and the institution. We have changed the timing of the ethics essay and joined with the AAP Bioethics Section for sponsorship. This year the essays contest are due at the end of June, which we hope will give the winners more time to prepare to attend PAS to read their essays at the SIG meeting. We would like to extend our gratitude to the APA leadership for making these activities possible. Respectfully submitted, Becky Benson, MD, PhD, co-chair Adrian Lavery, MD, MPH, co-chair

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